Table 1:
Class I – Low Risk | Class II – Moderate Risk | Class III – High Risk | |
---|---|---|---|
Caries |
Evaluation • No caries • Incipient caries – enamel or early dentin lesions AND • Asymptomatic |
Evaluation • Dentinal caries with no pulp involvement AND • Asymptomatic • No periapical radiolucency |
Evaluation • Gross caries near pulp/pulpal involvement AND • Symptomatic • +/− Periapical radiolucency |
Treatment • No treatment or observe |
Treatment • Restore or observe |
Treatment • Endodontic therapy • Extraction |
|
Periapical Status |
Evaluation • No periapical radiolucency • Asymptomatic |
Evaluation • Periapical radiolucency • Asymptomatic |
Evaluation • Periapical radiolucency • Symptomatic |
Treatment • No treatment |
Treatment • Based on case by case clinical judgment |
Treatment • Endodontic therapy • Extraction |
|
Third Molar Status |
Evaluation • Extracted or erupted AND • Asymptomatic |
Evaluation • Partially erupted, unerupted or impacted AND • Asymptomatic |
Evaluation • Partially erupted, unerupted or impacted AND • Symptomatic |
Treatment • No treatment |
Treatment • Prophylaxis • Extra soft brushes • Irrigation syringes |
Treatment • Extraction • Local treatment – Prophylaxis, extra soft brushes, Chlorhexidine 0.12% irrigation, systemic antibiotic operculectomy |
|
Periodontal Status |
Evaluation • Oral hygiene excellent or good • No or mild gingivitis • No or mild periodontitis • Asymptomatic |
Evaluation • Oral hygiene fair • Mild or moderate gingivitis • Moderate periodontitis • Asymptomatic |
Evaluation • Oral hygiene poor • Severe gingivitis • Advanced periodontitis • Symptomatic |
Treatment • No treatment or prophylaxis • Extra soft brushes |
Treatment • Prophylaxis • Extra soft brushes |
Treatment • Extraction • Prophylaxis / SRP • Extra soft brushes |
(SRP: Scaling and root planing)